Individual provider Active NPI

Jana Reichenberger, PA-C

  • Physician Assistant
  • Hendersonville, TN
National Provider Identifier
1194318030
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4546 Issued in TN
Practice address
264 New Shackle Island Rd Ste 107
Hendersonville, TN 37075-2481
Phone
(615) 824-4244
Fax
(615) 824-5916
NPI assigned
Feb 11, 2021
Last updated
Jun 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 4546 TN Primary

Addresses

Primary practice location

264 New Shackle Island Rd Ste 107
Hendersonville, TN 37075-2481

Mailing address

264 New Shackle Island Rd Ste 107
Hendersonville, TN 37075-2481
Phone (615) 824-4244

Other practice location 1

510 Old Hickory Blvd Apt 715
Nashville, TN 37209-5173
Phone (316) 239-9226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230918000097 OK Practitioner - Physician Assistant 1951703982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ou Health Partners IncGroup PAC ID 5991105876, 1,167 clinicians

Practice addresses (Care Compare)

14101 N Eastern Ave
Ou Health Physicians
Edmond, OK 73013-5859
Phone (572) 244-0202

900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.26 of 100Reported as group
Quality
53.73
Promoting interoperability
100
Improvement activities
40
Cost
70.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4546TNMDClinical Social Worker
5071OKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Physicians Alliance PC CurrentSince Jun 21, 2021 Accepting new patients
Ou Health Partners, Inc CurrentSince Aug 21, 2023 Accepting new patients
Summit Medical Center Past Accepting new patients
Ou Medicine Inc. Past Accepting new patients

Locations

14101 N Eastern Ave
Ste E
Edmond, OK 73013
Phone (405) 340-1279

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

264 New Shackle Island Rd
Ste 107
Hendersonvlle, TN 37075
Phone (615) 824-4244

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFDCBA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1194318030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 NEW SHACKLE ISLAND RD STE 107",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752481",
            "telephone_number": "615-824-4244",
            "fax_number": "615-824-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 NEW SHACKLE ISLAND RD STE 107",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752481",
            "telephone_number": "615-824-4244",
            "fax_number": "615-824-5916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 Old Hickory Blvd Apt 715",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372095173",
            "country_code": "US",
            "telephone_number": "316-239-9226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REICHENBERGER",
        "first_name": "JANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.